Job Application
Please complete the form below to apply for a position with us.
Date of Application
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Month
-
Day
Year
Date
Postion of Interest
I am looking for
*
Part Time Work
Full Time Work
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
Please Select
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New Hampshire
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New York
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Ohio
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Rhode Island
South Carolina
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Tennessee
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West Virginia
Wisconsin
Wyoming
State
Zip Code
Email Address
Confirmation Email
Home Phone or Primary Cell#
*
Alternate Number
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Previous Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Contact Preference
*
Phone
Email
If by Phone , can a message be left?
*
Yes
No
Education
Did you Graduate High School
Yes
No
Name School / Location
Do you have a G.E.D
Yes
No
Name School / Location
Any Technical College / School
Yes
No
Some
Name School / Location
Any College/University
Yes
No
Some
Name School / Location
Any other special Training or Education ?
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Job Experience
Current / Last Job
Previous Job
Prior to Previous Job
List and describe any specialized skills and/or equipment on which you have experience
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References
List 3 persons who are NOT relatives or former employers
2nd Person
3rd Person
Have you ever been Employed by KMA?
Yes
No
If your above answer is yes then;
Are you related to anyone at KMA?
Yes
No
If your above answer is yes then;
Are you a Veteran of the U.S. military?
Yes
No
Can you show proof of your eligibility to work in the U.S.?
Yes
No
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If required by the job, are you willing to work:
*
Yes
NO
Assembly 1st Shift - 6:30am - 3:00pm
Assembly 2nd Shift - 3:00pm - 11:30pm
Molding Day Shift - 5:30am - 6:00pm
Molding Night Shift - 5:30 pm - 6:00am
Date you can Start
*
-
Month
-
Day
Year
Date Picker Icon
Will you be "18 years old" as of the day you say you can start?
*
Yes
No
Upload Resume
I certify that all answers included in this application are true and correct and I understand that any intentional falsification of information will lead to my immediate termination of employment.
*
Yes, I understand
Submit
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